APPENDICES |
APPENDIX A
CURRICULUM SURVEY
Plans are being made for a nutrition lecture series for the Family Practice Residents at Union Hospital (Terre Haute, Indiana). Please rate each one of the topics listed below as either: E for essential, I for important, D for desirable, or NA for not appropriate for inclusion in this nutrition lecture series.
"E" |
"I" |
"D" |
"NA" |
|
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(A) BIOCHEMISTRY/PHYSIOLOGY |
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1. GI Tract: An overview of function |
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2. Physiology of Hunger & Satiety |
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3. Nutrient Sources: (Pro, Cho, Fat, Vit, Min) |
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4. Lipids & Cholesterol |
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5. Trace Minerals & Antioxidants |
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6. Energy Balance |
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7. Water, Electrolytes, Acid/Base Balance |
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8. Hormonal Control of Nutrient Metabolism |
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(B) NUTRITION ASSESSMENT |
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1. Anthropometrics |
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2. Assessment of Nutrient Intake |
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3. Biochemical Evaluation |
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(C) WELLNESS, DIET & PREVENTION |
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Nutritional Aspects of: |
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1. Growth & Development |
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2. Pregnancy |
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3. Lactation |
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4. Geriatrics |
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5. Nutritional Supplements |
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6. Dietary Guidelines |
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7. Food Guide Pyramid |
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8. Vegetarian Diets |
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9. Infancy & Adolescence |
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10. National Nutrition Programs/Goals |
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11. Alternate Medical Programs |
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12. Ethics & Feeding the Terminally Ill |
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13. Food Fads, & Health Food Trends |
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"E" |
"I" |
"D" |
"NA" |
|
(D) NUTRITION & DISEASE |
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Clinical Strategies For: |
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1. Liver Disease |
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2. Renal Disease |
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3. Failure to Thrive |
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4. Hyperlipidemia & Atherosclerosis |
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5. Diabetes |
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6. Cancer |
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7. Osteoporosis |
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8. Rheumatoid Disease |
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9. Allergies |
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10. Nutritional Anemias |
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11. Drug/Nutrient Interactions |
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12. Hospital Malnutrition |
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13. Surgery, Trauma & Infection |
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14. Wound Healing |
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15. Eating Disorders |
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16. AIDS & Immune Function |
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17. Alcohol & Substance Abuse |
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18. M.D./R.D. "Team" |
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19. Enteral Nutrition Support |
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20. Parenteral Nutrition Support |
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21. Cultural/Ethnic Issues |
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23. Inborn Errors of Metabolism |
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24. Endocrine & Metabolic Disorders |
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Any Additional topics you would like to see covered in the series:
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APPENDIX B
CONFIDENTIAL PATIENT NUTRITION SURVEY
1. Which doctor did you see today? Name:___________________
2. Why were you here to see the doctor?
|
___ prenatal visit |
___ physical/check-up |
|
|
___ well child visit |
|
___ other (list symptoms or diagnosis) |
3. Was the purpose of your visit: ___ new ___ ongoing
4. Did your doctor give you:
___ handouts on nutrition/healthy eating? |
___ handouts on a special nutrition topic? (i.e., sodium, cholesterol, fiber, osteoporosis) |
___ a specific diet plan for you to follow: |
___ low-calorie |
___ low-fat |
___ hi-fiber |
___ renal |
___ diabetic |
___ low-cholesterol |
___ low sodium |
__ other |
___ no nutrition handouts |
5. Did your doctor discuss nutrition as part of your:
___ health maintenance plan (staying healthy)? |
___ special health needs (treatment of a specific condition, such as diabetes, high-cholesterol, or high-blood pressure)? |
___ neither |
6. Did your doctor recommend that you:
___ see a dietitian/nutritionist? |
___ attend a hospital-sponsored diet class? |
___ contact one of the following community groups? |
___ Women Infants & Children |
___ Senior Dining Program |
___ Weight Watchers |
___ Expanded Food & Nutrition Program |
___ Meals on Wheels |
___ Other Weight-Loss Program |
___ nutritional supplements (ie., vitamins, minerals, or "Ensure®" type products) |
___ no nutrition recommendations |
7. Did you ask your doctor any nutrition-related questions? ___Yes ___No
8. If yes to #7, did the doctor give you the information that you needed?
___ very complete/useful information |
___ adequate information |
___ information was not what I needed |
Note: Ensure® is a registered trademark of Abbott Laboratories, Inc., Abbott Park, Illinois [U.S.]. The product name is used here to identify a class of diet supplement products. The mention of this product should not be interpreted as an endorsement or advertisement.
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